Protecting Your Business

When it comes to knowing where your money is, there’s no room for speculation. Our claims analysis department regularly performs payor validation and internal control functions so you always know what’s going on with your money. Our routine audits and real-time and periodic validation processes provide a reliable safety net that catches anything out of the ordinary and can be fixed before something goes wrong. It’s a fail-safe system that we’ve developed and refined over the course of decades, and it’s the best way we know of to protect your business.

  • Perform payor validation and internal control functions to monitor your practice for deviations in payor patterns, irregularities in payor payment schedules, and other areas
  • We audit 100% of the procedures that you perform for the first 2 months of business activity with us to confirm receipt of all the procedures you perform
    • After system integrity is validated, we conduct routine and systematic audits each year to detect any irregularities
  • Electronic Transfer Monitoring logs are received and reviewed daily and compared to relative expected volumes for the transfer date
    • Irregularities are investigated and resolved
  • Our coding staff monitors the actual volume by date of service on a daily basis to identify any anomalies, comparing the actual volume received tthe relative expected volume on that particular day of the week
    • Irregularities are investigated and resolved
  • Modality Volume Trend Reports identify more subtle standard deviations in daily volumes and volumes by modality
  • Monthly Reconciliation involves independent electronic audits of each facility that you serve
    • Actual exams in our billing system are compared to the exams that the facility reports indicate you performed
    • Provides a more exact audit trail.